Flourish Functional Medicine LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

FLOURISH FUNCTIONAL MEDICINE LLC

Practice address

1001 S Perry St Ste 105B
Castle Rock, CO 80104-1921

Phone

(720) 272-7771

NPI assigned

Sep 19, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Katrina M De Romana, NPNPI 1679751267

Title

Owner

Phone

(207) 272-7771

Specialties & licenses 1

Addresses

Tax ID family

Flourish Functional Medicine LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Heartlight Family Clinic, LLC

  dba Redwood Castle Rock

  • Primary Care Clinic/Center
  • Castle Rock, CO
  • NPI 1639529738
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katrina M De Romana, MSN, FNP

  • Primary Care Nurse Practitioner
  • Castle Rock, CO
  • NPI 1679751267
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1740068915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S PERRY ST STE 105B",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041921",
            "telephone_number": "720-272-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S PERRY ST STE 105B",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041921",
            "telephone_number": "720-272-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH FUNCTIONAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "DE ROMANA",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-272-7771",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dolores Fitzgerald
• Fix It Therapies
• Barbara Carol Flack, MSPT, DIPL OF ACUP
• Christopher Flom, RN, FNP-C
• Gabriela Flores
• Brigita Margaret Fody Landstrom
• Marki Tomiko Fong, PT, DPT
• Sarah Ford, MA, CCC-SLP
• Forefront Dermatology, S.C.
• Sara Rose Maria Foreman, RDN, CSSD

• Family Nurse Practitioner in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.